Organization Active NPI

Ross Behavioral Group, PLLC

  • Professional Counselor
  • Hendersonville, TN
National Provider Identifier
1417387903
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10000002768 Issued in TN
Legal business name
ROSS BEHAVIORAL GROUP, PLLC
Doing business as
The Ross Center
Practice address
133 Indian Lake Rd Ste 204
Hendersonville, TN 37075-3883
Phone
(615) 338-6341
Fax
(615) 338-6342
NPI assigned
Nov 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mari Alexander, LPC-MHSP
Title
Ceo
Phone
(615) 338-6341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 10000002768 TN Primary

Addresses

Primary practice location

133 Indian Lake Rd Ste 204
Hendersonville, TN 37075-3883

Mailing address

133 Indian Lake Rd
Ste 204
Hendersonville, TN 37075-3883
Phone (615) 338-6341

Other identifiers 2

IdentifierTypeStateIssuer
5224021-00MedicaidMD
Q009156MedicaidTN

Other names 1

  • The Ross Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ross Behavioral Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

900 Glendale Ln
Nashville, TN 37204
Phone (615) 338-6341

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1417387903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 INDIAN LAKE RD",
            "address_2": "STE 204",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753883",
            "telephone_number": "615-338-6341",
            "fax_number": "615-338-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 INDIAN LAKE RD STE 204",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753883",
            "telephone_number": "615-338-6341",
            "fax_number": "615-338-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS BEHAVIORAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "MARI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-338-6341",
        "authorized_official_credential": "LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "10000002768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5224021-00",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q009156",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Ross Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Ross Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.